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Evolution of Nursing: Analytical Essay

Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations. (American Nurses Association, n.d., para. 1). The history of professional nursing started as a medicine man, which then continued into Florence Nightingale’s time during the Crimean War, and advanced to the profession known today. Nurses were known as someone who cared for the sick and Knowledge of illness and treatment for illness was provided on a trial and error basis. Evil spirits were often blamed for disease and death during this time (Spector, 2004). Nursing profession has changed over time drastically from health care setting to dress code to ways of practicing nursing. Today’s view of nursing as a profession is described as applying evidence-based practice in the clinical setting to take care of the patients. I believe one of the main factors in evolution is the advanced in technology. 150 years ago, Nurses took temperatures with mercury-glass thermometers and hand wrote all of their notes and orders on paper charts, whereas now due to better technology system we have better medical equipment and almost everything is log in medical records electronically. EHR improves patient safety through Improved legibility of clinical notes, Improved access anytime and anywhere, Reduced duplication, Reminders that tests or preventive services are overdue, Clinical decision support that reminds clinicians about patient allergies, correct dosage of drugs, etc., Electronic problem summary lists provide diagnoses, allergies, and surgeries at a glance. Advanced in technology and using an EHR definitely provides safer and better health outcomes when treating an individual. As far as the education goes, at the time, nursing students often performed an hours of labor at hospitals, where they learned hands-on instead of classroom experience. Modern nursing education provides students an opportunity to earn anything associate degree to a doctor in Nursing. Modern Nursing education also requires both classroom and clinical experience. Classroom experience gives students an opportunity to study nursing in depth, while clinical experience gives an opportunity to learn hands on.

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Associate and Baccalaureate education both provides an opportunity to sit for NCLEX to be a register nurse but I believe the level of critical thinking ability of BSN degree holding nurse and AND holding nurse is slightly different. BSN degree holding nurses seems to have a problem-solving skill and high critical thinking skill as compared to AND holding Nurses due to the fact that BSN curriculum is made in a way that requires student to think critically as we write numerous papers. I also believe degree and level of education definitely makes a difference in patients care. In recent study published in the October 2014 issue of Medical Care, Olga Yakusheva, a researcher at the University of Michigan, found out that a 10 percent increase in the proportion of BSN-educated nurses on hospital units was associated with a 10.9% possible decrease in patient mortality. BSN degree holding nurses also opens more door to a job opportunities. ADN nurses are limited to bedside nursing and selected management jobs whereas; BSN holding nurses have more options and can work as a Nurse Manager, Nurse Educator, Clinician, administrative, and many more. Due to the positive relationship between patient outcome and level of education of the nurse providing the care, most of the hospital now requires BSN degree.

Baccalaureate-prepared registered nurses are usually seems to be in a leadership role. They promote teambuilding by encouraging trust and open communication among members of the health care team. For example, A nurse with ADN degree approach to patient teaching to a Diabetic Patient might be different then the Nurse with BSN degree. A nurse with ADN might focus more on treating the patient and the problem that patient is facing now, whereas, BSN level nurse might do a thorough and details patient teaching on diet, lifestyle, and focus more on prevention. An economic evaluation of a workforce in which 80% of the nurses had obtained their BSN degrees showed a decrease in the length of stay and readmission of the patients these nurses treated (Auerbach, Buerhaus, Staiger, 2015). BSN prepared nurses are more of problem solver then task oriented.

EBP uses the latest evidence to drive change to patient care policies and procedures to optimize patient outcomes (Brower & Nemec, 2017). EBP is the driving force behind many practice revisions and updates in nursing (Stevens, 2013). EBP The academic preparation of the RN‐BSN nurse supports the application of EBP by training us to increase our critical-thinking skills, observe and process information as we brainstorming ideas to do our assignment and write papers. RN-BSN academic preparation consists of reading numerous evidenced based articles, and research papers. The more we are exposed to evidence based articles, the more we can apply evidence based practice in clinical settings for the better outcome of the patients.

I believe Healthcare filed is teamwork with a common goal. The health care team member’s common goal is to care for patients and promote wellness, help patient’s achieve their goal of healing, and recovering. Nurses undertake multiple roles and are known as the central of health care team when it comes to collaborating and communicating with interdisciplinary teams. One of the main goals of the nurse when collaborating with interdisciplinary team is to advocate for the patients and the patients right in order to support safer and effective patient outcomes. Nurses act as a leader when collaborating with other health care team by incorporating teamwork, and participating in decision making while advocating for patients for the benefit of all patients.

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